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Organization

PSYCHOTHERAPY CENTER FOR CHILDREN ADULTS AND FAMILIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL HUGHES (ADMINISTRATIVE ASSISTANT)
(203) 874-2660
Entity
Organization

Contact information

Practice address
204 CHERRY ST, MILFORD, CT 06460-3555
(203) 876-0545
(203) 876-0814
Mailing address
204 CHERRY ST, MILFORD, CT 06460-3555
(203) 876-0545
(203) 876-0814

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TP2701X
Group Psychotherapy Psychologist
001868
CT
1041C0700X
Clinical Social Worker
002441
CT
1041C0700X
Clinical Social Worker
00283
CT
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
001370
CT
163WP0808X
Psychiatric/Mental Health Registered Nurse
00815
CT
2084P0800X
Psychiatry Physician
022757
CT
2084P0804X
Child & Adolescent Psychiatry Physician
022757
CT

Other

Enumeration date
01/23/2007
Last updated
05/20/2015
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